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Contact Information

DANIEL R COOK, LISAC
40 E. MITCHELL DR.
SUITE 100 & 200
PHOENIX, AZ85012-2330
 Phone: 602-808-2800
 Fax: 602-599-5711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DANIEL R COOK · (Male)

NPI # 1972903995
Status Active
Credentials LISAC
Entity Individual
Enumeration date 08/27/2014
Last updated 08/27/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # LISAC-10897
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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